Resources & FormsHomeOur School*Contact Us*Google Calendar*Newsletter*Hot Lunch Menu*Hot Lunch Payment*Summer Camp Payment*Field Trip Payment*After School Program Payment*Fantastic Friday Student Enrichment Program*Make A Donation*Special Education*ACA II Graduate Goals*Gradelink*Book A TourClassrooms*Primary*Elementary*Intermediate*Middle*Student Support Programs*Resource Services*RTI*ILSFamily NetworkResourcesFamily HandbookHomelessness ResourcesSuicide Prevention ResourcesACA II WASCSafety Plans & PoliciesResources and FormsSafety Plans & Policies HomeOur School*Contact Us*Google Calendar*Newsletter*Hot Lunch Menu*Hot Lunch Payment*Summer Camp Payment*Field Trip Payment*After School Program Payment*Fantastic Friday Student Enrichment Program*Make A Donation*Special Education*ACA II Graduate Goals*Gradelink*Book A TourClassrooms*Primary*Elementary*Intermediate*Middle*Student Support Programs*Resource Services*RTI*ILSFamily NetworkResourcesFamily HandbookHomelessness ResourcesSuicide Prevention ResourcesACA II WASCSafety Plans & PoliciesResources and FormsSafety Plans & PoliciesResources and Forms Charter LCAP (Local Control Accountability Plan) 2022-2023 School Accountability Report Card (SARC) COVID-19 Operations Written Report Comprehensive Schoolwide Safety Plan California School Dashboard CAASPP State Test Results EPA Spending Summary 2022-2023 Guidelines for School Closures Report of Health Exam form Oral Health Assessment form California Immunization Requirements Chaperone Driver Information form Student-Parent-School Agreement Special Education Procedural Safeguards (Parent Rights) Traffic Flow Diagram Traffic Flow Agreement Uniform Complaint Procedure FormCHAPERONE AND DRIVER INFO FORName* First Last Student(s) Name(s) All names on this list will be checked against the Megan’s Law Website to be sure that all our volunteers are legally able to be around children under the age of 18. Please have all parents/adults who may wish to chaperone on any of the study trips for this school year read the study trip policy and provide the information in the spaces below. Also, please let the teachers know if at anytime during the school year you wish to add or remove someone from this list.Name* First Last Phone*Address* Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Signature*Date* MM slash DD slash YYYY Upload your required documents here Drop files here or Select filesMax. file size: 256 MB. Please upload a scan/ copy of the following: -Your automobile insurance -Your DMV driver recordPLEASE INITIAL EACH STATEMENT BELOWYour Initial*I have read the Antioch Charter Academy Driver/Chaperone Policies. I understand that it is important as a chaperone to follow these steps and I am agreeing to do so as a study trip volunteer.Your Initial*I have enclosed a copy of my automobile insurance to show that I have a minimum of $100,000/$300,000 per occurrence in car insurance, should I choose to drive students in my car during the school year. If my automobile insurance is terminated I will immediately cease transporting Antioch Charter Academy students for school sponsored activities and events.Your Initial*I have enclosed a copy of my DMV driver record.Which Academy will you be driving for? (select all that apply)* ACA ACA IIΔ Antioch Charter Academy II1201 W. 10th St., Antioch, CA(925) 755-1252Quick Links> Our School > Classrooms > Family Network > Resources
